Referral Note

Referral

1

To / From

  • Receiving specialty + consultant
  • Sender + bleep / contact
2

Patient Details

  • Name, MRN, age, location
3

Reason for Referral

  • Specific clinical question
4

Background

  • Brief PMH, presenting illness, relevant investigations
5

Current Status

  • Vitals, NEWS2, examination findings
6

Investigations + Results

  • Relevant bloods, imaging
7

Plan to Date

  • Treatment given so far
8

Specific Request

  • What you want from the referee

Tip: Copy to paste into EMR, or Print to save as PDF.

WardRound

WardRound

Clinical Decisions in Seconds